Individual provider · Type 1 NPI

Mary Kathryn Dickson Staub, PA-C

Physician Assistant · Chapin, SC

NPI number 1952028896 Active

Practice location

104 Ellett Rd
Chapin, SC 29036-8604

Mailing address

1017 Lighthouse Rd
Chapin, SC 29036-8590

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4657 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1952028896

Mary Kathryn Dickson Staub, PA-C's National Provider Identifier is 1952028896, issued on Oct 21, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chapin, SC. The record was last updated on Nov 12, 2025.